Individual
EBONY PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2227 OLD EMMORTON RD STE 115, BEL AIR, MD 21015-6190
(410) 589-0999
Mailing address
2227 OLD EMMORTON RD STE 115, BEL AIR, MD 21015-6190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11692
MD
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/22/2018
Last updated
07/31/2024
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